Targeted Athletic Training Improves the Neuromuscular Performance in Terms of Body Posture From Adolescence to Adulthood – Long-Term Study Over 6 Years

Poor posture in childhood and adolescence is held responsible for the occurrence
of associated disorders in adult age. This study aimed to verify whether body
posture in adolescence can be enhanced through the improvement of neuromuscular
performance, attained by means of targeted strength, stretch, and body perception
training, and whether any such improvement might also transition into adulthood. From
a total of 84 volunteers, the posture development of 67 adolescents was checked
annually between the age of 14 and 20 based on index values in three posture
situations. 28 adolescents exercised twice a week for about 2 h up to the age of 18, 24
adolescents exercised continually up to the age of 20. Both groups practiced other
additional sports for about 1.8 h/week. Fifteen persons served as a non-exercising
control group, practicing optional sports of about 1.8 h/week until the age of 18,
after that for 0.9 h/week. Group allocation was not random, but depended on the
participants’ choice. A linear mixed model was used to analyze the development
of posture indexes among the groups and over time and the possible influence of
anthropometric parameters (weight, size), of optional athletic activity and of sedentary
behavior. The post hoc pairwise comparison was performed applying the Scheffé test.
The significance level was set at 0.05. The group that exercised continually (TR20)
exhibited a significant posture parameter improvement in all posture situations from
the 2nd year of exercising on. The group that terminated their training when reaching
adulthood (TR18) retained some improvements, such as conscious straightening of the
body posture. In other posture situations (habitual, closed eyes), their posture results
declined again from age 18. The effect sizes determined were between Eta² = 0.12 and
Eta² = 0.19 and represent moderate to strong effects. The control group did not exhibit
any differences. Anthropometric parameters, additional athletic activities and sedentary
behavior did not influence the posture parameters significantly. An additional athletic
training of 2 h per week including elements for improved body perception seems to
have the potential to improve body posture in symptom free male adolescents and
young adults.